Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 11362 | MD |
NPI | 1043372188 |
---|---|
Provider Name | Dr. Kevin A Asher |
First Address | Silver Spring, MD 20905-4320 |
Second Address | Columbia, MD 21044-3264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |